I struggle with back pain as well. I had scoliosis surgery when I was younger but they only straightened my top curve. I learned to sleep in a certain position that really helps alleviate the pain. I take 4 pillows. You will lay on your side and place 1 pillow under your head. The 2nd will go behind you, right up against your back so can slightly tilt back onto it while still on your side. Think going from a 90 degree able on the bed to a 100-110 angle. The 3rd goes between your knees and the 4th goes between your arms for you to hold. If you have super xl pillows then you may only need 3. I also sometimes place a heating pad under me at my middle as well. Hope this helps!!